www.hhs.gov U.S. Department of Health and Human Services
Activity Outline
Topics in Public Health: Community Health Care - “Extra-Clinical Care”: An Innovative and Systematized Approach to Healthcare Risk Assessments for the Homeless and the Underserved Populations
October 18, 2019
Activity Coordinators:
Ashlee Janusziewicz (ashlee.janusziewicz@fda.hhs.gov)
Series Description

This series will educate PHS health professionals about topics that are pertinent to their roles within the various agencies within the Department of Health and Human Services and other Public Health Service agencies by presenting topics that directly relate to the HHS Strategic Plan, the Secretary's Strategic Initiatives, current topics for DHHS OPDIVs who utilize PHS health professionals, and/or other topics directly related to the advancement of public health.  

Lecture Description
An assessment system known as "Extra-Clinical Care" adapted for the homeless population and currently taught at the University of Arizona. This approach begins with an understanding of the sociological issues involved in the care of the homeless and is coupled with the use of systematic reviews, validated tools, and field-tested techniques. You will discuss how the barriers to care affect treatment and outcomes, and learn how U.S. Public Health Commissioned Corps (USPHS) officers can be on the forefront by addressing healthcare disparities through community collaboration and improving outcomes by utilizing a set of validated skills to impact healthcare in underserved environments or on deployment missions.
  • Aldridge, Robert W, et al. Morbidity and mortality in homeless individuals, prisoners, sex workers, individuals with substance use disorders in high-income countries: a systematic review and meta -analysis. Lancet. 2018 Jan; 391(10117): 241-50.
  • Cheung, AM, Hwang, SW, Risk of death among homeless women: a cohort study and review of the literature. CMAJ. 2004 Apr; 170(8): 1243-47.
  • Christensen, RC, et al. Homeless, mentally ill and addicted: the need for abuse and trauma services. J Health Care Poor Underserved. 2005 Nov; 16(4): 615-22.
  • Pritchard, AJ, et al. Improving identification of strangulation injuries in domestic violence: pilot data from a researcher-practitioner collaboration. Fem Criminol. 2018 Apr; 13(2): 160-81.
  • Asberg, K, Renk K. Safer in jail? A comparison of victimization history and psychological adjustment between previously homeless and non-homeless incarcerated women. Fem Criminol. 2015; 10(2): 165-87.
  • United Nations Human Settlements Programme. Nairobi, Kenya Up for Slum Dwellers - Transforming a Billion Lives Campaign Unveiled in Europe - UN Habitat. https://unhabitat.org/up-for-slum-dwellers-transforming-a-billion-lives-campaign-unveiled-in-europe/ . Accessed 18 Jan 2019.
Series Objectives
  • Describe scientific evidence supporting the HHS Initiatives, Surgeon General Priorities or any other public health concern
  • Explain the multi-disciplinary approach in addressing public health issues
  • Identify public health concerns.
  • Identify ways Public Health Professionals can impact public health issues.
Learning Objectives After completion of this activity, the participant will be able to:
  • Describe the primary barriers to health care for the homeless population and demonstrate knowledge of the societal consequences of health and illness in a contemporary society.
  • Identify an overview of evidence-based healthcare risk assessment techniques and how these strategies can improve outcomes in vulnerable populations
  • Identify ways the USPHS can foster relationships through community collaboration and optimize health outcomes in underserved populations.
Target Audience
This activity is intended for physicians, pharmacists, nurses, and other public health medical professionals interested in learning more about the initiatives other advances in public health.

Lecture 1 October 18, 2019
Time Topic Speaker
2:00 - 3:00 PM Community Health Care - “Extra-Clinical Care”: An Innovative and Systematized Approach to Healthcare Risk Assessments for the Homeless and the Underserved Populations KELLY FATH, MSN, FNP-BC
Continuing Education Accreditation
Jointly Accredited Provider
In support of improving patient care, FDA Center for Drug Evaluation and Research is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.
ICPE Credit
This activity was planned by and for the healthcare team, and learners will receive 1 Interprofessional Continuing Education (IPCE) credit(s) for learning and change.
FDA Center for Drug Evaluation and Research designates this live activity for a maximum of 1.00 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This knowledge-based activity has been assigned ACPE Universal Activity Number JA0002895-0000-19-014-L04-P, and ACPE Universal Activity Number JA0002895-0000-19-014-L04-T for 1.00 contact hour(s).
FDA Center for Drug Evaluation and Research designates this activity for 1.00 contact hour(s).
Up to 1.00 CPH Recertification Credits may be earned at this event.
Requirements for Receiving CE Credit

Physicians, pharmacists, nurses, pharmacist techs, and those claiming non-physician CME: participants must attest to their attendance and complete the final activity evaluation via the CE Portal (ceportal.fda.gov). For multi-day activities, participants must attest to their attendance and complete the faculty evaluation each day. Final activity evaluations must be completed within two weeks after the activity - no exceptions.

Pharmacists will need their NABP e-profile ID number as well as their DOB in MMDD format in order to claim CE credit.

Important Note regarding completion of evaluations and receiving credit
Attendees have 14 days from the last day of the activity to log in, complete the required evaluation(s) and attest to your attendance to claim credit.Physicians and nurses may then view/print statement of credit. Pharmacists should log into the CPE monitor 10 weeks after the last session of the activity to obtain their CE credit.

  • FATH, KELLY, MSN, FNP-BC, Medical Officer - Nurse Practitioner, USPHS- NOAA - nothing to disclose

Planning Committee
  • Alu, Susan, Pharm.D., Clinical Pharmacist, U.S. Public Health Service - nothing to disclose
  • Begansky, Stephanie, PharmD, , BCACP, Advanced Clinical Pharmacist, IHS - nothing to disclose
  • Birch-Smith, Postelle, PharmD - nothing to disclose
  • Brodhead, LeAnn, PharmD, Health Insurance Specialist, CMS - nothing to disclose
  • Camilli, Sara, PharmD, , BCPS, Associate Director, FDA/CDER/OSE/DPV II - nothing to disclose
  • Chin, Edward, MD, MPH, Medical Officer, ONDP II - nothing to disclose
  • Janusziewicz, Ashlee, Pharm.D, Compounding Incidents Team Leader, FDA/CDER/OC/OUDLC - nothing to disclose
  • La, Thang, PharmD, MPH, Central Triage Unit Manager, FDA/CDER/OSE/RSS - nothing to disclose
  • Leung, Tamy, PharmD, MPH, BCPS, Accountable Care Organization Coordinator, Centers for Medicare and Medicaid - nothing to disclose
  • Lucero, Karly, RN, DNP, MSN/eD, CCHP, Regional Field Medical Coordinator, DHS - nothing to disclose
  • McClain, Rena, PharmD, CMS - nothing to disclose
  • Nabavian, Sadaf, Senior Regulatory Project Manager, FDA - nothing to disclose
  • Wagner, Lindsay, PharmD, BCPS, Branch Chief, FDA - nothing to disclose
  • khatri, Sadhna, PharmD, MPH, MS, MEd, Regulatory Officer, FDA/CDER/OCD/PASE - nothing to disclose

CE Consultation and Accreditation Team
  • Bryant, Traci, M.A.T., CE Consultant, FDA/CDER/OEP/DLOD - nothing to disclose
  • Giroux, Virginia, MSN, FNP-BC, Associate Director for Accreditation, FDA/CDER/OEP/DLOD - nothing to disclose
  • Zawalick, Karen, CE Team Leader, FDA/CDER/OEP/DLOD - nothing to disclose
Registration Fee and Refunds
Registration is complimentary, therefore refunds are not applicable.
ACCME Joint Accreditation
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